1977, 08-29 Permit App: M3187 MHi
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County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT oe
GENERAL REQUIREMENTS PERMIT FEE._t_____
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of Any
kind or alter any building or structure already erected, or to change a land use. Construction must conform with (the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
TATER. Nater supply must be approved by the County and State Health Departments. There work on water connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47235.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at
least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
Performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
MOVING OP BUILDINGS. A permit Is required to move an existing building. When a building is moved on a County or State
Highway, clearance must be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
which are enforceable through civil action. County Officials can not bring action to' enforce covenants or dedications.
/'+ �JAPPLIC)ANT FILL IN BELOW THIS LINE �/
Name of Owner ) an nit/ (;:_ t ill... Address �.o'jp �yle XA. �e1. y Phone 924/. f %�
Architect / Address * rethaw.t Wt24A b/& Phone
Engineer ^�•' Address PhAAAe
1026"//44')
Contra RA T//G/1� Address c Sn z .d -f t %a Phone 990 /
Legal De ption of Propert ive co let des iption rom deed, t receipt, etc.) Parcel Number awe
�o . 49 trapp.1-t /9'is2—!�o
�/ #4u lj75,€7 / 6�
DESCRIPTION OF WORK: New __ Addition Remodel Moving Bldg. Zone""Fire Z
Size of LotoJ5x !-D 5 )( 75, Sy x !!7 Sewage System s, Const.
(Fr., Dr., etc.) to
Stories / Dimensions is) 4 .X Lig Q!,� ^_ Total Sq Ft IDS (Valuation {��•
Rooms Baths y Basement '--'/'B Foundation Const /�O Chimney Fireplace "" 0 —
(Fu(1, pert, none) '�1 i d) '/ (Number
Ext Finish '7Yn 0�� Int. Wall Finish [/• stip
No of Units Bedrooms 3
Heat. System
Use of Bldg.
� pe of, Roofing
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
PLOT PLAN
property lines; (2). street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
as s
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
by certify information submitted is correct and there are no other structures located on this property except
't44S91ea .-
Owner or Agent Date
A LA 'T' USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 15 NOTA PERMIT.
61:1.4/ 74 DO NOTWRITEBELOW THIS LINE A , '/
Tour street address will bee / 740? c' it44� Qn-P The zone is 4O..e. �Y(�[.(L.)Y--D -
Sewage Permit Number Issued Building Permit_ Receipt 9'a / Issued
Remarks
7- 29'-77
Form 523 Bldg. Code